Making You Comfortable with Safe and Effective Sedation

photo of Dr Grellner with anesthesia equipment

Photography by Bob Thompson, THOMPSON Studios

These recommendations are general in nature and may not necessarily pertain to YOUR specific situation

General Anesthesia

Whether it's you or a loved one who needs to have oral surgery, you want it to be a comfortable, anxiety-free and safe experience.

When choosing an oral and maxillofacial surgeon, you certainly want a surgeon who is skilled surgically, but isn't the quality, sophistication and safety of the anesthetic just as important?

While there are many different methods of anesthesia being offered, from taking a long-acting sleeping pill to a variety of IV anesthetic drugs, the best and safest sleep is one that can be adjusted up or down to meet your individual needs and can be stopped when it is no longer needed.

Anesthesia is definitely an art that requires experience and finesse to create that smooth, comfortable experience you so desire.

It is with the same exacting philosophy Dr Grellner used in creating a better wisdom tooth experience, that he developed the innovative and exciting Grellner QuickRecover Anesthesia technique.

This anesthetic technique is the result of years of work by Dr. Grellner in creating a better, more sophisticated approach to short-duration* I.V. general anesthesia.

(* "short duration" refers to the use of ultra-shortacting IV medications that make it possible to make dosage adjustments as needed during the procedure for better control and a significantly faster recovery. An educated consumer will quickly realize that this sophisticated control is impossible with "anesthesia" by pill.)

--> Dr. Grellner is one of perhaps an handful of oral surgeons in the United States with as extensive an experience using the ultra-shortacting narcotic that makes this anesthetic technique possible.

If you live in the Tampa Bay area, you want to have this QuickRecover Anesthesia when having your wisdom teeth out.

Picture this:

If you are fearful of oral surgery, those fears will melt away as you drift off to sleep. After recovering in short as 10-20 minutes, you leave the office more alert, without long-lasting, unpleasant side effects, than ever before. No longer will you have to endure uncomfortable recovery for 30 - 60 minutes to still go home sleepy, dizzy, disoriented or nauseated.

Dr. Grellner's QuickRecover Anesthesia

Tampa Bay's Ultimate Office Anesthetic Experience by Theodore J. Grellner DDS

Again, the quality of your anesthesia experience while having oral surgery (like wisdom teeth removal) is just as important as the surgery itself. For a teen, it is even more critical since it may be his / her first experience with dentistry. Yes, you would like them to be asleep, but you also want it to be done well.

Ever heard of someone who, after receiving a general anesthetic for wisdom teeth extraction, couldn't do anything the rest of the day because it took so long for their anesthesia drugs to wear off? It's fairly common, isn't it?

If you have ever spoken to a patient who has received general anesthesia in our office recently, you will understand how amazing this new technique is. It is as close to falling asleep and waking later - soon after the procedure is finished - almost as clear as if you had just taken a nap!

There is no other anesthesia technique, including "sedation or sleep dentistry", that is as effective and offers as much control.

Read a patient's testimonial about her anesthesia experience HERE

Dr. Grellner first presented information on his anesthesia technique to other interested surgeons on October 2, 2010 at the AAOMS (American Association of Oral and Maxillofacial Surgeons) Annual Meeting in Chicago, Illinois

Florida Dental Society of Anesthesiology

... published an article written by Dr. Grellner in it's Fall 2011 newsletter to oral surgeons and other dental professionals who perform anesthesia titled:

"Remifentanil, Methohexital and Infusion Pump Technology: A step closer to the perfect anesthetic"

Courtesy Clinical Assistant Professor of Oral and Maxillofacial Surgery at University of Florida College of Dentistry

Want to learn more about Dr. Grellner's unique QuickRecover Anesthesia for oral surgery? We invite you to call (813) 972-3478 to reserve a time exclusively for you and Dr. Grellner

DON'T FORGET!

spoon with cereal

Nothing to eat or drink for 6-8 hours before a general anesthetic, but  don't skip important prescribed medication like blood pressure meds unless told to do so. A little sip of water to swallow medication is not a problem.

Also, having a snack of some protein before your fasting period starts will help prevent that uncomfortable feeling that hypoglycemia (from hunger) can bring. (An oat cereal or yogurt would be a better choice than the corn flakes above)

And finally...

An Important Note about Marijuana

If you smoke or ingest marijuana and you wish to go to sleep for your surgery, you must avoid any exposure to marijuana for at least 14 days prior to your surgery.

There is a metabolite of THC that will interfere with our ability to put you to sleep, increasing your risk with regard to your anesthetic.

MORE DETAILED INFORMATION:

Over the years, I have looked for ways to improve the anesthesia experience. A persistent frustration has been in trying to match the duration of the anesthetic to the length of the surgery being performed. The weak link has been that traditional long-acting I.V. narcotic pain medications were far outlasting surgeries of short duration (much of what oral surgeons perform) UNTIL NOW.

I am proud to tell you that my work over the past 8+ years has resulted in a sophisticated technique of short-duration general anesthesia that is truly the best I have ever offered. I call it QuickRecover Anesthesia.

It utilizes an ultra-shortacting narcotic that is given as a continuous infusion for potent pain relief. But the really amazing feature of this narcotic is that when the machine giving it is turned off, it is naturally metabolized (neutralized) in 10 minutes, regardless of how much or how long it was given! Imagine - a narcotic that is gone in 10 minutes, gone before you leave the office.

This technique also utilizes continuous I.V. infusion technology, sophisticated pumps that offer us much greater control than any other administration method available. Not only can minute-to-minute dosing be adjusted for individual differences but a significantly shorter recovery is now possible.

No longer do patients need fear waking up in the middle of a procedure, nor of a lengthy recovery in the office after the surgery, before returning to the comfort of their home.

Patients awaken feeling much more clear than ever before. Of course, there are always individual patient differences and longer surgeries will lengthen recovery somewhat, but patients will generally not experience the long recoveries that used to be the norm.

Gone also are those lingering sensations of queasiness, dizziness and lack of awareness of what's going on around you, which could last for hours in the past. Go home and do something fun while you recover.


This YouTube video demonstrates the effects of medications lasting well beyond the end of the surgery. It shows an anesthetic result that didn't utilize our QuickRecover Anesthesia technique. Enjoy; it is very entertaining:

It is precisely this extended action of long-acting medications that ourQuickRecover Anesthesia seeks to avoid.

Want to learn more about Dr. Grellner's unique QuickRecover Anesthesia for oral surgery? We invite you to call (813) 972-3478 to reserve a time exclusively for you and Dr. Grellner

WHY DO WE OFFER GENERAL ANESTHESIA?

Fear

There are many patients who either fear the unknown, or have fears that arose from bad experiences in their past (frequently in their childhood).

For others, though certain procedures can be comfortably performed using local anesthesia only, they would prefer to be completely unaware of the procedure. Our QuickRecover Anesthesia is perfect for those who just want to sleep through the procedure, then wake up when it's done and be driven home.

It is uncanny, though, how sometimes, when a patient wishes to be asleep for what is expected to be a relatively uncomplicated procedure, the procedure inevitably turns out to be more difficult than expected due to factors that could not be anticipated. Our unconscious, emotional intelligence can be very accurate, so we have learned to listen to it.

For procedures that can potentially involve surgical difficulties that are more difficult to perform or require multiple uncomfortable injections that may not be tolerated well, we will suggest that the patient (fearful or not) consider being asleep; this is especially beneficial for the fearful patient.


Inability to numb the tissue being treated

There are circumstances where local anesthesia will not be potent enough to comfortably perform a procedure or that we will be treating an area of the jaw outside of the confines of traditional numbing techniques.

Most commonly, an abscessed tooth in the lower jaw will, more often than not, be impossible to numb completely. (This is why removal of teeth that cannot be fixed is best done BEFORE they get infected)

We will make recommendations appropriate to your particular situation as to how to proceed with your infection. Often, if you wish to have your tooth removed with local anesthesia only, this may require you to return after the infection has resolved with the use of antibiotics. An infected tooth can be removed much more quickly under general anesthesia, but it requires some preparation on the part of the patient.

This is not usually the case for gum infections caused by impacted wisdom teeth. Generally, resolution of the infection with antibiotics is necessary to safely remove the impacted tooth.


GENERAL ANESTHESIA IN DENTISTRY

Oral and maxillofacial surgery in the U.S. is a specialty of dentistry that involves training in a hospital setting. This training not only includes rotations through medical and surgical specialties, but it also involves anesthesia training in the operating room under the supervision of anesthesiologists.

OMFS's are the only surgeons (that I know of) that receive this training. It is a privilege, not a right, that we hold dearly because of the significant benefit that it provides you, the patient. Upon graduation from our programs, we will have performed hundreds of general anesthetics, thus we can be licensed by the states in which we practice to provide it.


OVERCOMING FEAR OF GENERAL ANESTHESIA

Occasionally we encounter patients or parents who fear general anesthesia. While complications are inevitably a part of life in general, we as OMFS's have an excellent track record with respect to administering anesthesia. We are well-trained, know our limitations, and are not afraid to say "No" to situations too complicated, or risky to take on.

General anesthesia can be administered safely in an office setting. To deny yourself, your child or other loved one the benefit of this valuable service when indicated, can render treatment unnecessarily difficult for both the patient as well as the surgeon which could increase the potential risks of the procedure.

In the case of elderly patients, the need to eliminate anxiety can be even more critically necessary to control the overall medical risk.

An experienced oral surgeon may recommend the use of general anesthesia when he/she anticipates potential surgical difficulties that might be unpleasant for you.

Our Location

Theodore J. Grellner, D.D.S.

Palm Lake Office Building

(813) 972-3478

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